VISIONARY SURGERY CENTER, LLC
NPI 1821810326
Clinic/Center - Ambulatory Surgical in Mishawaka, IN
About Visionary Surgery Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VISIONARY SURGERY CENTER, LLC (NPI 1821810326) is a healthcare organization registered as an ambulatory surgical in Mishawaka, Indiana and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists Erin Malloy, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2323456
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- May 07, 2025
- Certificate Expiration Date
- May 06, 2027
- Laboratory Director
- ANN K. WIARDA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Visionary Surgery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821810326, enumerated as an "organization" on October 28, 2024.
The provider is located at VISIONARY SURGERY CENTER, LLC 4335 EDISON LAKES PKWY MISHAWAKA, IN 46545 and the phone number is (417) 447-4484.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
